Sepsis

Jim Shannon: To ask the Secretary of State for Health how many (a) cases of and (b) deaths from sepsis there were in each region and constituent part of the UK in each of the last five years.

Daniel Poulter: The information requested is shown in the following tables:
	
		
			 Total count of provider spells(1) with a mention of sepsis(2) in any episode in the last five years of patients admitted to hospital in England by region of residence 
			 Code Region 2008-09 2009-10 2010-11 2010-12 2012-13(3) 
			  Total 69,731 71,662 79,792 87,257 98,775 
			 A North East 4,504 4,406 4,861 5,288 5,766 
			 B North West 9,868 10,842 12,154 12,953 14,123 
			 D Yorkshire and Humber 7,487 7,491 8,631 8,941 9,689 
			 E East Midlands 6,970 6,458 6,614 7,487 9,411 
			 F West Midlands 6,143 6,002 6,823 7,298 9,574 
			 G East of England 7,195 8,045 8,648 9,516 10,899 
			 H London 9,955 10,881 11,886 12,481 12,953 
			 J South East 10,451 10,297 12,003 14,189 15,588 
			 K South West 6,344 6,567 7,275 8,113 9,660 
			 S Scotland 60 38 41 36 52 
			 U No fixed abode 122 60 48 73 79 
			 W Wales 163 169 219 241 335 
			 X Foreign including Channel Isles and Isle of Man 191 174 218 275 259 
			 Y Not known 274 214 358 349 369 
			 Z N. Ireland 4 18 13 17 18 
			 (1 )The term ‘spell’ applies to one or more episode of care under a particular consultant. (2) Admissions with a diagnostic mention of the following: A39.2 (Acute meningococcaemia), A39.3 (Chronic meningococcaemia), A39.4 (Meningococcaemia, unspecified), A40 (Streptococcal sepsis), A41 (Other sepsis). (3) Figures for 2012-13 are provisional. Source. Hospital Episode Statistics 
		
	
	The increase in reported provider spells of admissions related to sepsis could be as a result of the information campaign on the 'sepsis six' care bundle which may have contributed to improved recognition of sepsis by clinical staff.
	On 1 April 2012 the NHS moved to using ICD 10 4th Edition in which all references to “Septicaemia” have been replaced with “Sepsis”. The NHS White Paper committed the NHS to this change. This may have raised awareness of sepsis and contributed to improved recording of the condition by consultants.
	
		
			 Number of deaths where septicaemia was the underlying cause of death where the death was registered in England and Wales, 2008 to 2012(1, 2, 3, 4) 
			 Region 2008 2009 2010 2011 2012 
			 North East 166 172 151 154 138 
			 North West 268 300 307 294 281 
			 Yorkshire and Humber 218 198 171 194 180 
			 East Midlands 198 210 202 180 141 
			 West Midlands 246 241 237 242 290 
			 East of England 204 193 214 177 209 
			 London 212 196 177 187 153 
			 South East 285 314 263 296 257 
			 South West 228 249 264 221 191 
			 Wales 178 198 189 198 185 
			 England and Wales 2,203 2,271 2,175 2,143 2,025 
			 (1) Deaths were coded using International Classification of Diseases, Tenth Revision (ICD-10), codes A39.2 (acute meningococcaemia), A39.3 (chronic meningococcaemia), A39.4 meningococcaemia, unspecified), A40 (streptococcal septicaemia), A41 (other septicaemia). (2) Excludes deaths of non-residents. (3) Deaths registered in each calendar year. (4) Boundaries as of August 2013. Source: Office for National Statistics

Pupils

Damian Hinds: To ask the Secretary of State for Education what data his Department holds on relative levels of pupil turnover in each region.

Elizabeth Truss: The Department for Education holds information on where each pupil attends school at the time of each School Census. Linking information from different censuses makes some analysis of pupil movement possible.
	Analysis is readily available on the number and percentage of pupils who have been in the same school throughout years 5 and 6 for key stage 2 or years 10 and 11 for key stage 4 (referred to as “non-mobile pupils” in the Performance Tables). School and local authority level information can be found in the 2012 Performance Tables download data(1).
	To produce further analysis of pupil movement would incur disproportionate costs.
	(1)( )http://www.education.gov.uk/schools/performance/download_ data.html

Children: Maintenance

Kate Green: To ask the Secretary of State for Work and Pensions what progress he has made on plans to reduce the costs of the child maintenance system.

Steve Webb: A significant amount of work has been undertaken since 2010-11 to reduce the costs of operating the child maintenance systems:
	cost per £1 of child maintenance collected and arranged has fallen from 39 pence in 2010-11 to around 35 pence in 2011-12.
	The statutory cost of each child benefiting has fallen from £488 in 2010-11 to £425 in 2011-12.
	The net cost of administering child support on a comparable basis has fallen from £527 million in 2010-11 to £485 million in 2011-12.
	These figures are available in the Child Maintenance and Enforcement Commission Annual Report and Accounts 2011-12, which can be found via the following link:
	https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/221408/cmec-report-and-accounts-11-12.pdf